Membership Form

MEMBERSHIP FORM

If you wish to become a member please complete this form, print from your browser, sign, date and post along with with your Cheque to:-

Bradford Civic Society, Ground Floor Offices, Sunbridge House, 80 Kirkgate, Bradford, BD1 1TH

Name:

House No/Street:

Address 2:

Town/City:

County:

Postcode:

Telephone:

Email Address:

Annual Subscription:
(Tick One Box)

Junior Members £8.00:
2 or More Full Members (in the same household) £10.00:
Full Members £12.00:
2 or More Life Members *(in the same household)* £30.00:
Life Members £35.00:
Corporate Members £75.00:

Gift Aid Declaration:

I would like Bradford Civic Society to reclaim tax I have paid on this and any future memberships subscriptions and donations until I notify you otherwise.

Signature:

_____________________________________

Date:

_________________

Please make all cheques payable to "Bradford Civic Society"

Registered Charity No: 1115384